Antimicrobial Stewardship Program in pediatric settings

Giulia

Department of Women’s and Children’s Health

Antimicrobial stewardship programs in pediatric emergency department

Introduction

ASP programs are a comprehensive set of tools to improve antibiotic prescription

AMR around the world

AMR around the world

AMR

The childhood mortality decreased in the past 20 years

Material and methods

Study design This is a before and after study conducted at Pediatric Emergency Department at the Department of Women’s and Children’s Health at Padua University Hospital.

Intervention Clinical pathways for the management of acute otitis media, pharyngitis and community acquired pneumonia were implemented in October 2015.

Results

We collected data of more than 500 children evaluated in pediatric emergency department between October 2014 and September 2016

No differences in demographics characteristics where observed between the groups

Amoxicillin-clavulanic acid reduced whereas amoxicillin prescription increase

The use of second and third generation cephalosporins decreased in the post implementation period

No difference in the treatment failure between the two groups was observed at the follow-up phone

Conclusions

Our study showed that the implementation of CP for the management of the most common pediatric infectious diseases improved antibiotic prescription, without affecting patients outcome

Antimicrobial stewardship programs in pediatric acute care unit

Antimicrobial stewardship programs in intensive care unit

Antimicrobial stewardship programs in the outpatient setting

Draft 1

Code highlight of the 2 and 3 lines

mtcars %>%                               
  ggplot( aes(mpg, hp)) +   
  geom_point()

Draft 2

mtcars %>%                               
  ggplot( aes(mpg, hp, color = gear)) +   
  geom_point() + 
  geom_smooth(method = "lm")

Draft 3

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Draft 4

Draft 5

PhD